1 - Evidence Informed Care Flashcards
Diagnostic reasoning
process of analyzing health data and drawing conclusions to identify diagnosis
4:
attending to initially available cues
formulation diagnosis hypothesis
gathering data relative to tentative hypotesis
evaluating each hypothesis with new data arriving
Nursing process
systematic process of planning and providing patient care organized around series of phrases that integrate evidence-informed practice and critical thinking
5 phases: Assessment Nursing Diagnosis Planning Implementation Evaluation
ABCV’s
Airway
Breathing
Cardiac/circulation problems
Vital sign concerns
First-level priority problems
Emergent, life-threatening, immediate
Second level priority problems
Urgent, necessitating prompt intervention
Require intervention to prevent deterioration
Third level priority problems
Important, addressed after more urgent problems
Collaborative problems
Treatment involves multiple disciplines
Evidence Informed practice
All patients must be provided with the most current based best practice techniques. Encompasses a more inclusive view of what counts as evidence. Include evidence generated through intervention studies, clinical trials, ethnographic research, systematic reviews, policy analysis, valuation studies
Biomedical model
Health is absence of disease. Disease is assumed to be caused by specific agent are pathogens. Health and disease are used as two ends of the spectrum. The focus is on the diagnostic and treatment of the pathogen and curing of disease
Behavioural model
Treatment of disease + primary/secondary preventions. Healthcare extends beyond treating disease to include secondary and primary prevention with emphasis on changing behaviour and lifestyles. Example quitting smoking or eating nutritiously
Socioenvironmental model
Incorporates sociological and environmental aspects. In addition to bio medical and behavioural ones. Parallels the definition where health is a resource for living
Social determinants of health
The social, economic, and political conditions that shape the health of individuals, families, and communities
Complete (total health) database
A complete health history and results of a full physical examination
Episodic or problem-centered database
For a limited or short-term problem
Follow-up database
Evaluates the status of any identified or short term problem
Smaller in scope and more targeted than the complete database.
Monitors short-term or chronic health problems